Author: Mary Beth Howard

Malek Mazzawi, MD, Children’s National Medical Center HPI: Outside hospital calls requesting transfer of a 5-year-old previously healthy girl with fever and rash for 7 days. She was diagnosed with roseola 5 days prior at urgent care then started having worsening headache, somnolence and decreased PO. She developed a diffuse, non-pruritic, erythematous rash on her […]

The case: A 3 year old with neck swelling and concern for neck infection who will not tolerate a CT scan. Here’s how you answered the questions: Discussion and Denouement: This patient represents an unusual presentation for peritonsillar abscess in both his young age and his primary complaint being external neck swelling.  Although not all […]

Walt Palmer, MD, Children’s National Medical Center HPI: A 3-year-old previously healthy boy presents to the Emergency Dept for left-sided neck swelling.  Two weeks ago, he presented to another ED for neck swelling in the setting of URI symptoms, diagnosed with reactive lymphadenopathy, discharged home with supportive care instructions. Symptoms (including swelling) soon thereafter resolved.  […]

The case: a 4 yo with an embedded foreign body and mildly elevated inflammatory markers Here’s how you answered the questions: Discussion: This case raises many interesting questions regarding work up and management of a foreign body that has been in place for some time. In terms of the initial work up, the group was […]

The Case: A 14 year old presenting after closed head injury while sledding, found to have pneumocephalus on CT Head and carotid abnormality CTA. See how you answered the questions here. Discussion: This case brings to light sledding as a potentially dangerous mechanism of injury (a quick pubmed search reveals a plethora of articles on […]